Welcome to Ask Stago, the podcast dedicated to provide expert answers to your expert questions in hemostasis.

In today episode, our expert guest, Jonathan Douxfils, CEO at QUALIblood SA and Professor at the University of Namur / Department of Pharmacy, will detail with us the current recommendation on how to measure direct oral anticoagulants and in which clinical situation this information is relevant and useful..

As usual, don’t forget to send any question you may have to ask@stago.com, we will be glad to answer to it.

Learn more - Literature sources:

Bernier M, Lancrerot SL, Parassol N, Lavrut T, Viotti J, Rocher F, Drici MD. Therapeutic Drug Monitoring of Direct Oral Anticoagulants May Increase Their Benefit-Risk Ratio. J Cardiovasc Pharmacol. 2020 Oct;76(4):472-477. Epub 2020/10/09. doi:10.1097/FJC.0000000000000870. Cited in: Pubmed; PMID 33030858.
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Gosselin RC, Adcock DM, Bates SM, Douxfils J, Favaloro EJ, Gouin-Thibault I, Guillermo C, Kawai Y, Lindhoff-Last E, Kitchen S. International Council for Standardization in Haematology (ICSH) Recommendations for Laboratory Measurement of Direct Oral Anticoagulants. Thrombosis and haemostasis. 2018 Mar;118(3):437-450. Epub 2018/02/13. doi:10.1055/s-0038-1627480. Cited in: Pubmed; PMID 29433148.
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Tripodi A. To measure or not to measure direct oral anticoagulants before surgery or invasive procedures: reply. Journal of thrombosis and haemostasis : JTH. 2016 Dec;14(12):2559-2561. Epub 2016/10/25. doi:10.1111/jth.13513. Cited in: Pubmed; PMID 27662099.
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Pollack CV, Jr., Reilly PA, van Ryn J, Eikelboom JW, Glund S, Bernstein RA, Dubiel R, Huisman MV, Hylek EM, Kam CW, Kamphuisen PW, Kreuzer J, Levy JH, Royle G, Sellke FW, Stangier J, Steiner T, Verhamme P, Wang B, Young L, Weitz JI. Idarucizumab for Dabigatran Reversal - Full Cohort Analysis. The New England journal of medicine. 2017 Aug 3;377(5):431-441. Epub 2017/07/12. doi:10.1056/NEJMoa1707278. Cited in: Pubmed; PMID 28693366.
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Testa S, Legnani C, Antonucci E, Paoletti O, Dellanoce C, Cosmi B, Pengo V, Poli D, Morandini R, Testa R, Tripodi A, Palareti G, Coordinator of SR. Drug levels and bleeding complications in atrial fibrillation patients treated with direct oral anticoagulants. Journal of thrombosis and haemostasis : JTH. 2019 Jul;17(7):1064-1072. Epub 2019/04/24. doi:10.1111/jth.14457. Cited in: Pubmed; PMID 31013383.
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Siriez R, Dogne JM, Gosselin R, Laloy J, Mullier F, Douxfils J. Comprehensive review of the impact of direct oral anticoagulants on thrombophilia diagnostic tests: Practical recommendations for the laboratory. International journal of laboratory hematology. 2021 Feb;43(1):7-20. Epub 2020/09/19. doi:10.1111/ijlh.13342. Cited in:...

S2E16 - DOAC measurement: how and what for?